Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.77 / $1,328.77 / $1,435.07	Facility		$1,328.77	$1,328.77	$1,435.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.77 / $1,435.07 / $2,657.54	Professional		$1,328.77	$1,435.07	$2,657.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,807.13 / $1,807.13 / $1,807.13	Professional		$1,807.13	$1,807.13	$1,807.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,034.99 / $3,034.99 / $3,034.99	Facility		$3,034.99	$3,034.99	$3,034.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.91 / $1,952.91 / $1,952.91	Facility		$1,952.91	$1,952.91	$1,952.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,425.62 / $1,952.91	Professional		$1,425.62	$1,425.62	$1,952.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,071.80 / $14,058.21 / $14,058.21	Facility		$5,071.80	$14,058.21	$14,058.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,199.11 / $15,199.11 / $22,099.20	Professional		$15,199.11	$15,199.11	$22,099.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.59 / $2,115.08 / $3,034.99	Facility		$868.59	$2,115.08	$3,034.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $878.40 / $2,731.49 / $3,034.99	Professional		$878.40	$2,731.49	$3,034.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.59 / $2,027.88 / $3,034.99	Facility		$868.59	$2,027.88	$3,034.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,425.62 / $2,081.90	Professional		$1,425.62	$1,425.62	$2,081.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.21 / $1,658.63 / $2,027.88	Professional		$1,121.21	$1,658.63	$2,027.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,631.91 / $1,647.60 / $3,034.99	Professional		$1,631.91	$1,647.60	$3,034.99